CAJ | 학술논문

目的：研究非肿块型钙化性乳腺癌患者的微钙化X线平片特征。方法回顾性分析110例非肿块型钙化性乳腺癌患者的临床资料，分析其微钙化分布、形态的X线表现，并与患者的病理结果进行对照性研究。结果110例患者的微钙化分布、形态在不同病理类型的乳腺癌中的差异不具有统计学意义（P＞0．05）。在非浸润性和浸润性癌之中的微钙化分布的差异具有统计学意义（P＜0．05），分布以簇状和段样分布。在非浸润性和浸润性癌之中微钙化的形态的差异不具有统计学意义（P＞0．05），在非浸润性和浸润性癌中形态多为细小多形性钙化，在非浸润性癌肿中多见多种恶性钙化混合，在浸润性癌肿多见线样分支和线样状钙化类型。结论给予非肿块型钙化性乳腺癌患者的微钙化分布和形态进行鉴别在不同病理类型中没有鉴别意义。手术之前可以对患者的微钙化X线平片进行分析，通过其微钙化分布和形态来判断乳腺癌是非浸润性还是浸润性。
목적：연구비종괴형개화성유선암환자적미개화X선평편특정。방법회고성분석110례비종괴형개화성유선암환자적림상자료，분석기미개화분포、형태적X선표현，병여환자적병리결과진행대조성연구。결과110례환자적미개화분포、형태재불동병리류형적유선암중적차이불구유통계학의의（P＞0．05）。재비침윤성화침윤성암지중적미개화분포적차이구유통계학의의（P＜0．05），분포이족상화단양분포。재비침윤성화침윤성암지중미개화적형태적차이불구유통계학의의（P＞0．05），재비침윤성화침윤성암중형태다위세소다형성개화，재비침윤성암종중다견다충악성개화혼합，재침윤성암종다견선양분지화선양상개화류형。결론급여비종괴형개화성유선암환자적미개화분포화형태진행감별재불동병리류형중몰유감별의의。수술지전가이대환자적미개화X선평편진행분석，통과기미개화분포화형태래판단유선암시비침윤성환시침윤성。
Objective To explore the X-ray characteristics of non-calcified mass in breast cancer patients with microcal-cifications.Methods A retrospective analysis of clinical data of 110 cases of non-calcified mass in breast cancer patients were conducted .Analysis of the distribution of microcalcifications ,X-ray morphology ,and controlled studies in patients with pathological results were conducted .Results There had no statistically significant differences in microcalcifications distribution ,morphology at different pathological types of breast cancer of the 110 patients(P>0.05).There had statistically significant differences in the distribution of microcalcifications between non-invasive and invasive cancer ( P<0.05),and the distribution was clustered like distribution segment .There had no statistically significant differences between non-invasive and invasive cancer in microcalcifica-tions morphology (P>0.05),in the non-invasive and invasive carcinoma were mostly small pleomorphic calcifications ,in non-in-vasive cancer swelling of the common variety of malignant calcifications were mixed in invasive cancer was more common kind of branch lines and wire-like calcification type .Conclusion Non-calcified mass in patients with breast cancer microcalcifications distribution and morphology in different pathological types have no differential value .X-ray microcalcification before surgery can determine the distribution and morphology of invasive or non-invasive breast cancer through its microcalcifications .